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Perivascular space information


Perivascular space
A perivascular space as seen on CT
Anatomical terms of neuroanatomy
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CT image showing extensive low attenuation in the right hemispheric white matter due to dilated Type 2 perivascular spaces
Axial fat-suppressed T2-weighted MRI image in the same patient as above demonstrating extensive dilated Type 2 perivascular spaces in the right hemisphere
Perivascular space is depicted in the inset box.

A perivascular space, also known as a Virchow–Robin space, is a fluid-filled space surrounding certain blood vessels in several organs, including the brain,[1] potentially having an immunological function, but more broadly a dispersive role for neural and blood-derived messengers.[2] The brain pia mater is reflected from the surface of the brain onto the surface of blood vessels in the subarachnoid space. In the brain, perivascular cuffs are regions of leukocyte aggregation in the perivascular spaces, usually found in patients with viral encephalitis.

Perivascular spaces vary in dimension according to the type of blood vessel. In the brain where most capillaries have an imperceptible perivascular space, select structures of the brain, such as the circumventricular organs, are notable for having large perivascular spaces surrounding highly permeable capillaries, as observed by microscopy. The median eminence, a brain structure at the base of the hypothalamus, contains capillaries with wide perivascular spaces.[3]

In humans, perivascular spaces surround arteries and veins can usually be seen as areas of dilatation on MRI images. While many normal brains will show a few dilated spaces, an increase in these spaces may correlate with the incidence of several neurodegenerative diseases, making the spaces a topic of research.[4]

  1. ^ Norrving, Bo (2016). "Lacunar Syndromes, Lacunar Infarcts, and Cerebral Small-vessel Disease". Stroke. Elsevier. pp. 449–465.e4. doi:10.1016/b978-0-323-29544-4.00027-x. ISBN 978-0-323-29544-4. Perivascular spaces are fluid-filled spaces that follow a typical course of a vessel penetrating/transversing the brain through gray or white matter.89
  2. ^ Gross PM, Weindl A (1987). "Peering through the windows of the brain (Review)". Journal of Cerebral Blood Flow and Metabolism. 7 (6): 663–72. doi:10.1038/jcbfm.1987.120. PMID 2891718.
  3. ^ Shaver, SW; Pang, JJ; Wainman, DS; Wall, KM; Gross, PM (1992). "Morphology and function of capillary networks in subregions of the rat tuber cinereum". Cell and Tissue Research. 267 (3): 437–48. doi:10.1007/bf00319366. PMID 1571958. S2CID 27789146.
  4. ^ Esiri, MM; Gay, D (1990). "Immunological and neuropathological significance of the Virchow–Robin space". Journal of the Neurological Sciences. 100 (1–2): 3–8. doi:10.1016/0022-510X(90)90004-7. PMID 2089138. S2CID 39929713.

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Perivascular space

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A perivascular space, also known as a Virchow–Robin space, is a fluid-filled space surrounding certain blood vessels in several organs, including the brain...

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Pia mater

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mater allows blood vessels to pass through and nourish the brain. The perivascular space between blood vessels and pia mater is proposed to be part of a pseudolymphatic...

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Hyperintensity

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studies combined with MRI suggest that hyperintensities are dilated perivascular spaces, or demyelination caused by reduced local blood flow. White matter...

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Leptomeningeal cancer

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nerve space, or perivascular spaces. Malignant cells can migrate along spinal or cranial nerve epineurium-perineurium, invade the subpial space, and travel...

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Arachnoid mater

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continue inside the brain, covering the so-called Virchow-Robin spaces or perivascular spaces. For that reason some meningiomas can appear as completely inside...

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Glia limitans

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lies deep to the pia mater and the subpial space and surrounds the perivascular spaces (Virchow-Robin spaces). Any substance entering the central nervous...

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Neurosyphilis

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result in lymphocytic and plasma cell infiltration of perivascular spaces (Virchow–Robin spaces). The extension of cellular immune response to the brainstem...

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Median eminence

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release of hypothalamic hormones, although it does share contiguous perivascular spaces with the adjacent hypothalamic arcuate nucleus, indicating a potential...

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Thymic involution

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consists of two main components: the true thymic epithelial space (TES) and the perivascular space (PVS). Thymopoiesis, or T-cell maturation, only occurs in...

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Intramembranous ossification

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osteons. Since bone spicules tend to form around blood vessels, the perivascular space is greatly reduced as the bone continues to grow. When replacement...

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Immune privilege

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cells are not thought to be present in normal parenchymal tissue or perivascular space although they are present in the meninges and choroids plexus. Thus...

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Balamuthia mandrillaris

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paraffinized biopsy specimens may indicate Balamuthia trophozoites in the perivascular space. The cysts can be visualized by calcofluor white, which binds to glycans...

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Brain tumor

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tissue. Blood vessels enter the central nervous system through the perivascular space above the pia mater. The cells in the blood vessel walls are joined...

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Maiken Nedergaard

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protein plays a crucial role in modulating the flow of CSF between the perivascular space and the brain interstitium. Dysfunction of the glymphatic system has...

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Neurovascular unit

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arterioles and the perivascular compartment, form the network of the NVU. Arterioles are made up of pial vessels and arterioles, and the perivascular compartment...

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Foreign accent syndrome

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structural issue in their brains – “venous malformation and expanded perivascular spaces”. PFAS Patient with head trauma received the diagnosis of PFAS. The...

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Hypophyseal portal system

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rapid hormone exchange. Other evidence indicates that capillary perivascular spaces of the median eminence and arcuate nucleus are contiguous, potentially...

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Peritoneum

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cavity (the space bounded by the vertebrae, abdominal muscles, diaphragm, and pelvic floor) is different from the intraperitoneal space (located within...

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Postvaccinal encephalitis

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severe lesions. Apart from cellular infiltrate in perivascular space there is a tissue rarefication in spaces close to damaged blood vessels. Accumulated small...

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Mumps

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hemorrhaging in the brain, white blood cell infiltration in the perivascular spaces in the brain, reactive changes to glial cells and damage to the myelin...

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Boston criteria

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lobar haemorrhagic lesion plus one white matter feature (severe perivascular spaces in the centrum semiovale or white matter hyperintensities in a multispot...

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Chronic multifocal Langerhans cell histiocytosis

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include breakdown of bone and thickening of the pituitary stalk. The perivascular space may appear prominent, the pituitary gland cystic and there may be...

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Microglia

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knowledge of microglia. Then, in 1988, Hickey and Kimura showed that perivascular microglial cells are bone-marrow derived, and express high levels of...

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Subarachnoid hemorrhage

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blood products are released into the surrounding perivascular spaces known as (Virchow-Robin spaces). The released clotting factors like; fibrinopeptides...

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Emanuel Swedenborg

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the cerebrospinal fluid, the functions of the pituitary gland, the perivascular spaces, the foramen of Magendie, the idea of somatotopic organization, and...

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Rudolf Virchow

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Virchow's psammoma, psammoma bodies in meningiomas Virchow–Robin spaces, enlarged perivascular spaces (EPVS) (often only potential) that surround blood vessels...

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